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The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
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Clients are limited to: | AdolescentAdult |
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Assessment of physical health status may include: | Blood pressure, pulse and respirationWeight Evidence of uraemia and electrolyte imbalance e.g. lethargy, confusion, anorexia, nausea and vomitingSigns of fluid overload e.g. dyspnoea, tachypnoea, ankle oedema, weight gain over a short period of time and high blood pressure readingsSigns of dehydration e.g. dry mouth, dizzy, postural drop in blood pressure, low blood pressure and weight loss over short period of timeBlood sugar levelsPathology results from routine testing for dialysis clientsPeritoneal dialysis exit-site statusAbnormalities of peritoneal dialysis fluid Returns on peritoneal dialysis exchangesEvidence of infection |
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Peritoneal dialysis may include: | Continuous ambulatory peritoneal dialysis (CAPD)Automated peritoneal dialysis (APD) |
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Members of the health care team may include: | Enrolled/Division 2 nurseRegistered nurseNurse practitionerGeneral practitionerRenal physician Chronic disease management teamDietitianSocial workerPharmacist Podiatrist Aboriginal and/or Torres Strait Islander health worker |
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Scope of work role refers to: | Enrolled/Division 2 nursesAboriginal and/or Torres Strait Islander health workers |
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Pathology resultsmay include: | Haematological tests:haemoglobiniron studiesBiochemical tests:ureacreatininecalciumphosphateDialysis adequacy tests:Kt/Vsurea reduction ratiofraction reduction urea |
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Catheter and exit site problemsmay include: | Exit site infection, signs and symptoms:redness and tenderness at exit siteexudate at exit sitesoiling of exit site dressing with blood-stained or pus discharge Cracking, splitting and discolouration of the catheterCuff extrusion Mobile catheter Tension of catheterExtravasation to surrounding tissue or along inguinal canal to scrotum or labiaContamination of catheter or 'Y' line on bag during exchange processLeakage from site, extravasation or bag Blocked catheter due to constipation, catheter movement, fibrin plug |
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Actual and potential problemsmay include: | Peritonitis, signs and symptoms:fevercloudy bagabdominal painnausea and vomitingHypertension/hypotensionFluid imbalance:dehydrationfluid overloadElectrolyte imbalance:hyperglycaemiaInadequate dialysisMalnutrition/obesityLarge amount of weight loss Failure of peritoneal fluid to drain in or out of peritoneal dialysis cavity during an exchangeExcessive or insufficient ultra filtration leading to overload or dehydrationInfusion of incorrect peritoneal dialysis fluid:incorrect osmotic agentincorrect volumeincorrect concentration of osmotic agentRaised intra-abdominal pressure |
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Provide effective education includes: | Develop lesson planTime management of education sessionEvaluating education sessionEvaluating client learningRecognising teachable momentsAssessing teaching and learning resources |
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Infection control guidelines may include: | Standard and additional precautionsAseptic techniqueCollection site preparationSample collection proceduresWaste handling and disposal |
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Response to treatment may include: | Change in client's hydration statusSigns and symptoms of uraemiaMove towards client's ideal weightStabilisation of blood pressure |
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Documentation may include: | Record of test proceduresComplete and sign request formMedical record notationLabelling specimens and all documentsData entry on paper and electronically |
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Management ofperitoneal dialysis consumables may include: | Stock management principles:stocktakeordering cyclecount stock on handordering suppliesmethod of ordering check expiry datesDelivery mode Timeframes Storage requirements Requirement to rotate stockCheck equipment |
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Prepare peritoneal dialysis additives must include: | Identification of contraindications of medicationsConfirmation of client identity and check for known allergiesIdentification of the purpose and function of prescribed medication100% accurate calculation of medication doses for administration as prescribedContributing to the provision of information provided to clients and carers on side effects of medication administration |
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Peritoneal dialysis additives may include: | HeparinAntibioticsInsulin |
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Delegation refers to: | Conferring of authority to perform specific medication administration activities to a worker not usually authorised but who has been determined as appropriate for the task by the delegating health professionalDelegation is within the context of a care plan or other written instruction Where delegation is provided verbally it must be confirmed as soon as practicable according to organisation procedures in writing and incorporated in the care plan The authority is specific to an individual client within a specific care context and is not transferableDelegation instructions must include:medication and its purposedosage and related instructionsroutecontraindicationsany other relevant instructions or information, especially information specific to the client |